Main AHCA Website

AHCA’s main website for information on Medicaid, Health Quality Assurance and the Florida Center for Health Information and Transparency.

Go >

Florida Health Information Network

This website provides information and resources relating to AHCA’s initiatives for Health Information Technology and Health Information Exchange.

Go >

Provides health education and information to compare and locate health care providers in Florida to make well-informed health care decisions.

Go >
AHCA Network of Websites

Health Education

Health Encyclopedia

Search the Health Encyclopedia

Developmental milestones record - 2 years

Alternative Names

Growth milestones for children - 2 years; Normal childhood growth milestones - 2 years; Childhood growth milestones - 2 years


Physical and motor skill markers:

  • Able to turn a door knob
  • Can look through a book turning one page at a time
  • Can build a tower of 6 to 7 cubes
  • Can kick a ball without losing balance
  • Can pick up objects while standing, without losing balance (This often occurs by 15 months. It is a cause for concern if not seen by 2 years.)
  • Can run with better coordination. (May still have a wide stance.)
  • May be ready for toilet training
  • Should have the first 16 teeth (The actual number of teeth can vary widely.)
  • At 24 months, will reach about half final adult height

Sensory and cognitive markers:

  • Able to put on simple clothes without help (The child is often better at removing clothes than putting them on.)
  • Able to communicate needs such as thirst, hunger, need to go to the bathroom
  • Can organize phrases of 2 - 3 words
  • Can understand 2-step command such as "give me the ball and then get your shoes"
  • Has increased attention span
  • Vision is fully developed
  • Vocabulary has increased to about 50 - 300 words (Healthy children's vocabulary can vary widely.)

Play recommendations:

  • Allow the child to help around the house and take part in the daily family chores.
  • Encourage active play and provide enough space for healthy physical activity.
  • Encourage play that involves building and creativity.
  • Provide safe copies of adult tools and equipment. Many children like to mimic activities such as cutting the grass or sweeping the floor.
  • Read to the child.
  • Try to avoid television watching at this age (recommendation of the American Academy of Pediatrics).
  • Control both the content and quantity of television viewing. Limit screen time to less than 3 hours per day. One hour or less is better. Avoid programming with violent content. Redirect the child to reading or play activities.
  • Control the type of games the child plays.


Feigelman S. The second year. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 9.

Review Date:2/26/2014
Reviewed By:Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

The Agency for Health Care Administration (Agency) and this website do not claim the information on, or referred to by, this site is error free. This site may include links to websites of other government agencies or private groups. Our Agency and this website do not control such sites and are not responsible for their content. Reference to or links to any other group, product, service, or information does not mean our Agency or this website approves of that group, product, service, or information.

Additionally, while health information provided through this website may be a valuable resource for the public, it is not designed to offer medical advice. Talk with your doctor about medical care questions you may have.

Outcome Data

No data available for this condition/procedure.

Health Encyclopedia

More Features

We Appreciate Your Feedback
1. Did you find this information useful?

2. Would you recommend this website to family and friends?